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Medical Insurance Benefits Specialist
4 mesi fa
tendersglobal.net
Organizational Setting
CSH administers the Organization’s human resources management programmes, in particular in the areas of human resources policy development, position management, recruitment, mobility, training and social security. It supports the HR Units and staff throughout the Organization in the SSC and the Regional Offices to ensure that HR processes and programmes are delivered in a consistent, effective, and efficient manner.
Within CSH, Social Security (CSHS) also manages the Organization’s medical insurance plans.
Reporting Lines
The Consultant reports to the Senior HR Officer, Social Security, CSHS
Technical Focus
Technical and functional tasks are primarily related to the calculation and distribution of the GLADI profit sharing, financial analysis of the performance of the Medical Insurance plans offered by the Organization, premium setup coordination of benefits of FAO ASMC plan, US Medicare plans and administrative support to the Medical Insurance team.
Tasks and Responsibilities
• Calculate the participant’s portion of the GLADI Profit Sharing and in the distribution of the profit share to participants with main attention on GLADI After Service participants.
• In collaboration with the CSI and CSLC payroll teams, assist with the improvement and implementation of automated reports and workflows related to the collection and declaration of premiums. Assist in the revision of premiums (including their distribution and allocation in the different GL accounts).
• In coordination with the CSF team, ensures that the monthly premium declarations related to the medical plans are well received and recorded in the relevant folders. Update financial reports based on the premium declarations received from finance in relation to medical and life insurance plans. Transmits the premium declarations to the claims administrator on a monthly basis
• Sample NSHR compensation reports for the first 4 days of sick leave for which FAO is self-insured. Spot control check to verify accuracy of the claims data provided.
• Prepare the analysis of the utilization and claim experience reports submitted by insurance claims administrator.
• Review of the renewal formula to set the level of premium increase for the medical and life insurance plans.
• Review the calculation for setting the level of premiums and apportionment of the allocations following outcome of the renewal formula.
• Supports the rollout of enrolments of US based retirees in US Medicare plan.
• Prepares lists of US based retirees in US Medicare plan enrolments and eligibility of retirees/beneficiaries.
• Contacts, provides information and support to US based retirees on the procedure for enrolment in in US Medicare plan.
• Based on the outcome of the first Medicare Survey, if required, drafts and develops the sample frame for the second follow up baseline questionnaire in order to gather additional information that may be relevant for the success of the US Medicare project.
• Coordinates the distribution of the survey amount eligible US based retirees, either by email or by carrier as required and coordinates the collection of replies to the survey and maintains good quality database.
• Analyses and reports the findings of the survey and provide datasets and final documentation.
• If necessary, follows up with US Based retirees on any open item/follow up inquiries.
• Prepares the analysis of the enrolments and follows up with the claims administrator to verify how the coordination of benefits is affecting the claims experience of the participants who have adhered to the initiative.
• Drafts Standard Operation Procedures (SOP) and guidelines for medical insurance procedures and control checks for appropriate monitoring of the plan, including contract management functions.
• Conducts an analysis of the existing medical plan management workflows and recommends enhancements to reporting mechanisms.
• Performs ad hoc duties as required;
CANDIDATES WILL BE ASSESSED AGAINST THE FOLLOWING
Minimum Requirements
• University Degree, Finance, Business Administration, Human Resources Management, Public Health or other related fields.
• Three years of experience for candidates with the above-mentioned University Degrees and five years of experience for candidates with other non-related University Degree, in administration, including experience in administration of medical and life insurance schemes, staff compensation or appendix D management, United Nations Joint Staff Pension, human resources management, financial services, legal and other social security matters.
• Working knowledge of English and limited knowledge of another FAO official language for consultants. For PSA.SBS, working knowledge of English will be sufficient.
FAO Core Competencies
• Results Focus
• Teamwork
• Communication
• Building Effective Relationships
• Knowledge Sharing and Continuous Improvement
Technical/Functional Skills
• Work experience in more than one location or area of work would be an asset.
• Extent and relevance of experience in either Social Security Benefits, Medical Insurance Contract Management or Human Resources management; or a combination of at least two of these areas would be an asset. .
• Demonstrated experience in drafting clear and concise reports and policy papers in English would be an asset.
• Demonstrated experience in Enterprise Resource Planning (ERP) would be an asset.
• Knowledge of employee insurance schemes and/or benefit programmes would be an asset.
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